Arthrography of the Shoulder Joint

Neviaser, Julius S.

doi:10.2106/00004623-196244070-00004

Cited by 104 publications

(19 citation statements)

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“…On the other hand, the usefulness of MR arthrography for diagnosing adhesive capsulitis has not been fully established. Conventional arthrography has been used as the most useful diagnostic tool for adhesive capsulitis because the intraarticular injection of the contrast medium allows a clear visualization of the decreased joint capacity and obliteration of the axillary recess, which are the main findings necessary to diagnose adhesive capsulitis [13,14]. In Lee et al's study using MR arthrography [7], the width of the axillary recess was significantly reduced in the patient group with adhesive capsulitis, similar to our results.…”

Section: Discussionsupporting

confidence: 87%

Adhesive capsulitis of the shoulder: evaluation with MR arthrography

et al. 2005

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The purpose of this study was to determine the usefulness of magnetic resonance (MR) arthrography for diagnosing adhesive capsulitis. Shoulder MR images of 28 patients with (n=14) and without (n=14) adhesive capsulitis were retrospectively analyzed. MR images were assessed for capsule and synovium thickness as well as the width of the axillary recess on oblique coronal fat-suppressed T1-weighted images and T2-weighted images, respectively. On oblique sagittal fat-suppressed T1-weighted images, the width of the rotator interval and the presence of abnormal tissue in the interval were evaluated. Significant differences were found between the two groups in capsule and synovium thickness on both sides of the recess on oblique coronal T2-weighted images (P=0.000), whereas thickness on the humeral aspect showed no significant difference on oblique coronal fat-suppressed T1-weighted images (P=0.109). On oblique coronal T2-weighted images, a cut-off value of 3-mm thickness gave the highest diagnostic accuracy for adhesive capsulitis with sensitivity, specificity, and accuracy of 79% (11/14), 100% (14/14), and 89% (25/28) at the humeral side and 93% (13/14), 86% (12/14), and 89% (25/28) at the glenoid side, respectively. There were significant differences in rotator interval width, presence of abnormal tissue in the rotator interval, and axillary recess width between the two groups (P<0.05). Thickness of capsule and synovium of the axillary recess greater than 3 mm is a practical MR criterion for diagnosing adhesive capsulitis when measured on oblique coronal T2-weighted MR arthrography images without fat suppression. The presence of abnormal tissue in the rotator interval showed high sensitivity but rather low specificity.

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Section: Discussionsupporting

confidence: 87%

Adhesive capsulitis of the shoulder: evaluation with MR arthrography

et al. 2005

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“…However, because the condition can be treated effectively, it is important to establish the diagnosis [1][2][3]. Although arthrographic findings have been described in the literature [4,5], to our knowledge the MR findings have not been established. Accordingly, we studied the MR images in 10 patients with this condition to assess the diagnostic utility of MR imaging.…”

Section: Ajr I995;i64:i457-i459mentioning

confidence: 99%

“…The arthrographic diagnosis was based on two or more of the following findings: joint volume less than 10 ml, poor or absent filling of the axillary recess of the joint or biceps tendon sheath, irregularity of capsule insertion, pain after injection of less than 1 0 ml of contrast material, or extravasation of contrast material prior to injection of iO ml or more [4,5]. The age range of patients with adhesive capsulitis was 23-66 years (mean, 50 years), and the group consisted of six women and four men.…”

Section: Ajr I995;i64:i457-i459mentioning

confidence: 99%

Adhesive capsulitis of the shoulder: MR diagnosis.

Emig¹,

Schweitzer²,

Karasick³

et al. 1995

American Journal of Roentgenology

199

129

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“…The arthrographic criteria of adhesive capsulitis include the following: limited injectable fluid capacity of the glenohumeral joint (7-10cc), a small dependent axillary fold, and irregularity of the anterior capsular insertion at the anatomic neck of the humerus [8,9]. More recently, MRI features helpful in the diagnosis of AC have been described in the literature, with relatively disappointing overall specificity for the disease [10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Magnetic Resonance Imaging of Adhesive Capsulitis: Correlation with Clinical Staging

Sofka

Ciavarra

Hannafin

et al. 2008

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

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The purpose of this study was to evaluate noncontrast magnetic resonance imaging (MRI) findings of adhesive capsulitis and correlate them with clinical stages of adhesive capsulitis. This will hopefully define a role for shoulder MR imaging in the diagnosis of adhesive capsulitis as well as in potentially directing appropriate treatment. Forty-seven consecutive non-contrast magnetic resonance imaging examinations of 46 patients with a clinical diagnosis of adhesive capsulitis were retrospectively reviewed and correlated with clinical staging. Specific MRI criteria correlated with the clinical stage of adhesive capsulitis, including the thickness and signal intensity of the joint capsule and synovium as well as the presence and severity of scarring in the rotator interval. Routine MRI of the shoulder without intraarticular administration of gadolinium can be used to diagnose all stages of adhesive capsulitis, including stage 1, where findings may be subtle on clinical examination. We believe that future studies assessing the role of MRI in guiding the initiation of appropriate treatment should be undertaken.

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Arthrography of the Shoulder Joint

Cited by 104 publications

References 0 publications

Adhesive capsulitis of the shoulder: evaluation with MR arthrography

Adhesive capsulitis of the shoulder: evaluation with MR arthrography

Adhesive capsulitis of the shoulder: MR diagnosis.

Magnetic Resonance Imaging of Adhesive Capsulitis: Correlation with Clinical Staging

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